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What Are The Findings And Required Treatment?

Posted on Mon, 26 Aug 2013

Question: t3 534 t4 19.25 tsh 0.005 recent report pl. give complete advice for medication

Answered by Dr. Rahul Tawde (13 hours later)

Hi XXXXXXX
Thanks for writing in. Its clear that you have hyperthyroidism. But since you have had this problem for a long time now, we have to think about definitive therapy. There are 2 options available - Radio iodine and surgery. Choice of definitive therapy will depend on examination findings, goiter size and chances of cure with each of them. Before that you thyroid status has to be controlled by anti-thyroid drugs. Its bit complicated- I have to admit. Needless to say you need to be examined in detail and some tests have to be done before final decision.
Hope this helps.
Shivaprasad

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rahul Tawde (2 days later)

Respected Sir,
I am highly indebted for your kind response due to time constraints the discussion was delayed. Please see below:
Thyroid scan and uptake was done on 19/9/12
Report- The 2m mts Pertechnatate thyroid uptake is 29% (normal 0.34-3.34%) impression - thyrotoxicosis
Adv - RA!!31 Toxic therapy if clinically warranted
My doctor advised for oral medication 20 mg neomarcazole thrice daily
4 XXXXXXX test t3-155, t4- 4.11 TSH - 029 adviced neomarcazole(NM) 20 mg twice
april 19 test t3-127, t4-1.98, TSH 76.53 coupled with weight gain
adviced NM 5 mg once, thyronorm 100mcg once arachitol O tab once
testjuly 19 t3-534, t4 - 19.25, TSH 0.002
adviced thyrocab 10 mg once, thyronorm 75mcg once, remylin O tab once
Kindly advice whether the treatment will give response. I have sufferred with weight loss, rapid hair loss during the last 4 months. When consulted with gyn. expert i was adviced combit and benefiail tabs which has stopped the hair loss. My immediate problem is i feel terribly hot, palpatation problem, feel like taking rest in between work, mu apetite is normal, bowel movement normal.
with regards
XXXX XXXXXXX

Answered by Dr. Rahul Tawde (6 hours later)

I think you should just be on thyrocab and stop thyronorm. You are thyrotoxic and now getting both anti thyroid drugs and thyroxine which have opposing effects. You symptoms are related to hyperthyroidism and will resolve once thyrotoxic state subsides. You just be on thyrocab 10mg once a day and repeat thyroid test after 6 weeks. You can expect cure with thyrocab but will have to wait for 4-6 months to be sure.
Shivaprasad

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rahul Tawde (3 days later)

i want to know about PCOS

Answered by Dr. Rahul Tawde (2 hours later)

PCOS is a big issue in itself. Briefly it causes irreg cycles, hirsutism and/ or infertility. It requires detailed evaluation and treatment. It is associated with insulin resistance and obese women have higher chances of having it.
Shivaprasad

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rahul Tawde (3 days later)

I am highly grateful for your kind response. Pl. advice on the following:
My daughter DOB 13/04/1997 has been diagnosed with PCOS
Weight 77.8 kg
ht 5'.1"
Respected Dr. Sir

Shows hair growth over whole body, acne on face and is overweight
Ultrasound report taken on 24/07/13 is as below:
uterus size 7.34x2.74x4.01
- endomitium 0.4 cm
RT ovary 3.16 x 2.1 cm Polycystic ovaries
LT ovary 3.3 x 2.0 cm Polycystic ovaries

She has been advices KRIMSON 35
Kindly advice in detail whether it is curable, is the treatment having any side effects, what extra precautions should be taken, should one use herbal therapy
with regards
XXXXXXXXXXX

Answered by Dr. Rahul Tawde (12 hours later)

PCOD may not be fully curable. Side effects are not very serious. You will find the list of side effects in the information leaflet ptovided with the KRIMSON.Concentrate on reducing weight. Do daily exercise. Things will be fine.
Hope this hrlps
Shivaprasad

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar